دورية أكاديمية
[FUNCTIONAL IMPAIRMENT THREE MONTHS AFTER ACUTE STROKE: PATIENT REPORTED OUTCOMES IN THE NATIONAL ACUTE STROKE ISRAELI REGISTRY - NASIS 2016].
| العنوان: | [FUNCTIONAL IMPAIRMENT THREE MONTHS AFTER ACUTE STROKE: PATIENT REPORTED OUTCOMES IN THE NATIONAL ACUTE STROKE ISRAELI REGISTRY - NASIS 2016]. |
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| المؤلفون: | Miaary Z; Department of Nursing, Sackler Faculty of Medicine, Tel Aviv University., Tanne D; Department of Neurology and Neurosurgery, and Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel Aviv University., Koton S; Department of Nursing, Sackler Faculty of Medicine, Tel Aviv University. |
| المصدر: | Harefuah [Harefuah] 2019 Jun; Vol. 158 (6), pp. 367-371. |
| نوع المنشور: | Journal Article |
| اللغة: | Hebrew |
| بيانات الدورية: | Publisher: Israel Medical Association Country of Publication: Israel NLM ID: 0034351 Publication Model: Print Cited Medium: Print ISSN: 0017-7768 (Print) Linking ISSN: 00177768 NLM ISO Abbreviation: Harefuah Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Tel Aviv : Israel Medical Association |
| مواضيع طبية MeSH: | Patient Reported Outcome Measures* , Stroke*/complications, Aged ; Female ; Humans ; Israel ; Male ; Psychomotor Disorders/etiology ; Registries ; Severity of Illness Index |
| مستخلص: | Background: Stroke is a leading cause of mortality, disability and functional impairment. We present clinical and patient-reported outcomes 3-months after stroke in patients from the National Acute Stroke Israeli registry (NASIS) 2016. Methods: The NASIS registry includes all patients with acute cerebrovascular events admitted during 2-month periods every 3-years, at all hospitals and departments admitting acute stroke patients in Israel. The current work presents findings on 710 survivors after ischemic stroke or intracerebral hemorrhage (ICH) in NASIS 2016. Outcomes at 3-months were assessed using the modified Rankin Scale (mRS), questions about dysfunction and patient-reported outcomes assessed with the PROMIS 10 scale. Results: Seven-hundred and ten patients were included, 696 (94.2%) with ischemic stroke and 41 (5.8%) with ICH. Mean age of participants was 70.2 years, 58% men. At 3-months, mRS scores were 0-1 for 43% of the patients, 2-3 for 29% and 4-5 for 28%. Functional impairment was more severe in patients with ICH than in ischemic stroke patients. Patients who were discharged from the hospital with functional impairment (mRS≥2) exhibited lower PROMIS 10 scores at 3-months compared to patients with no functional impairment at discharge. This finding was statistically significant in all the PROMIS 10 items, except for fatigue (p=0.874) and pain level (p=0.188). Conclusions: More than half of the patients needed help with their daily functioning 3-months after stroke. Most stroke survivors with functional impairment at discharge reported poor patient-reported outcomes. Post-stroke rehabilitation programs should aim at improving outcomes that are valuable to patients. |
| تواريخ الأحداث: | Date Created: 20190620 Date Completed: 20190828 Latest Revision: 20190828 |
| رمز التحديث: | 20221213 |
| PMID: | 31215188 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0017-7768 |
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